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NPI Code Detail

MEDICARE: DR. CHADWICK BARDWELL SOMMERS PHARM D

MEDICARE: DR. CHADWICK BARDWELL SOMMERS PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistTL3805WY

General Provider Information

NPI Number : 1871003483
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHADWICK BARDWELL SOMMERS PHARM D
Provider Business Mailing Address
First Line : 385 CONRAD
Second Line :
City : BUFFALO
State : WY
Zip : 82834-2553
Country : US
Telephone Number : 970-640-4500
Fax Number :
Provider Business Practice Location Address
First Line : 431 FORT ST
Second Line :
City : BUFFALO
State : WY
Zip : 82834-1805
Country : US
Telephone Number : 307-684-7003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2017
Last Update Date : 10/09/2017

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